Individual provider Active NPI

Sunil Adwani, M.D.

  • Internal Medicine Physician
  • Manhattan Beach, CA
National Provider Identifier
1285043539
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A147150 Issued in CA
Practice address
1010 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone
(310) 322-9700
Fax
(310) 376-8228
NPI assigned
Aug 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRN20190 FL
Internal Medicine Physician 207R00000X A147150 CA Primary

Addresses

Primary practice location

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266

Mailing address

21311 Madrona Ave Ste 101
Torrance, CA 90503-5970

Other practice location 1

2501 N Orange Ave
Ste 235
Orlando, FL 32804-4603
Phone (407) 303-7270

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sadwani809616@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170724001913 CA Practitioner - Internal Medicine 6800166836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929
Phone (310) 376-6262

Hospital & facility affiliations

  • Providence Home Health la County South Home health agency, Torrance, CA, CCN 557447
  • Elegance Healthcare, Inc Home health agency, Encino, CA, CCN 553107
  • Hollywood Home Health Services Home health agency, N Hollywood, CA, CCN 058310
  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A147150CAMDInternal Medicine Physician
TRN20190FLMDInternal Medicine Physician

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Providence Medical Institute Internal Medicine Current Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 322-9700

1499 W 1st St
San Pedro, CA 90732
Phone (310) 241-2590

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sadwani809616@oc.providencedirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1285043539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21311 MADRONA AVE STE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "90266",
            "telephone_number": "310-322-9700",
            "fax_number": "310-376-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 N Orange Ave",
            "address_2": "Ste 235",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328044603",
            "country_code": "US",
            "telephone_number": "407-303-7270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADWANI",
        "first_name": "SUNIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN20190",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A147150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sadwani809616@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1010 N Sepulveda Blvd",
            "city": "Manhattan Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.